Central Mutual Insurance Company v. Reliance Property Management, Inc.

Court of Appeals of Texas·Decided May 25, 2022·No. 05-21-00071-CV·Published

Opinion

REVERSE in part; AFFIRM in part and Opinion Filed May 25, 2022

S In The

Court of Appeals

Fifth District of Texas at Dallas No. 05-21-00071-CV

CENTRAL MUTUAL INSURANCE COMPANY, Appellant V.

RELIANCE PROPERTY MANAGEMENT, INC., Appellee

On Appeal from the 44th Judicial District Court Dallas County, Texas

Trial Court Cause No. DC-18-00856

MEMORANDUM OPINION

Before Chief Justice Burns, Justice Schenck, and Justice Partida-Kipness Opinion by Chief Justice Burns After a jury trial in this insurance coverage dispute, the trial court rendered

judgment for appellee Reliance Property Management, Inc. on its claim against appellant Central Mutual Insurance Company. Central now appeals, alleging the trial court erred by denying its motion for directed verdict, by disregarding certain of the jury’s answers and failing to disregard others, and by failing to render judgment for Central. Concluding that the trial court rendered judgment in accordance with the jury’s verdict and the insurance policy’s terms, but that there was no evidence to support one element of damages awarded by the jury, we affirm in part and reverse and render in part.

BACKGROUND

Reliance made a claim for a $220,000 loss under its 2016–17 commercial lines insurance policy issued by Central. Central denied the claim, citing certain conditions and exclusions in the policy. Reliance sued, seeking damages and attorney’s fees for breach of contract, bad faith in an insurance transaction, and deceptive trade practices. The case proceeded to a jury trial, where the parties offered evidence about the loss and the policy. 1. The loss Reliance is a small property management company that manages commercial properties. In May 2017, Reliance had three employees: Robert Grunnah, its owner and president, Debbie Molitor, its secretary and bookkeeper, and Alex Lilley, a property manager. Grunnah and Molitor worked from different office locations, so they usually communicated by email.

On Thursday, May 18, 2017, Molitor received an email that appeared to be from Grunnah asking if she could make online wire transfers. The email showed that it was sent from Grunnah’s correct email address. It included his usual “signature block” bearing his name, address, phone numbers, and the company logo for “Younger Partners,” where Grunnah’s office was located. The parties have referred to the unknown sender of this and the other relevant emails as “Fake Robert.”

Over the course of the following week, Fake Robert sent instructions to Molitor and Reliance’s bank officers at BB&T Bank to authorize Molitor to make

wire transfers for Reliance. Molitor took the steps required by the bank, most notably taking physical signature cards to the real Grunnah’s home to be signed. After further communications, Fake Robert sent Molitor an invoice for a $220,000 “Investment Project” in Hong Kong and instructed Molitor to send a wire transfer to pay it. Molitor went in person to the bank and completed a $220,000 wire transfer from Reliance’s account on Thursday, May 25, 2017.

The following day, Molitor received another request from Fake Robert for additional transfers. Molitor testified that from the outset, she had been uncomfortable with the responsibility of making wire transfers. After consulting with Lilley, she called Grunnah to ask about the new request and discovered that Grunnah knew nothing about the $220,000 transfer. They immediately contacted the bank to attempt to stop the payment or obtain a refund, but were not able to do so.

Reliance filed a claim with Central under the policy. Central denied Reliance’s claim by letter of July 14, 2017, stating that the policy did not cover the loss. 2. The policy Reliance purchased a commercial lines policy from Central for the 2016-17 policy year. Reliance also paid Central an additional premium for the “Central Premier Plus® Property Extensions Coverage Endorsement” (the “Premier Plus endorsement”).

The policy includes a “Special Form” entitled “Causes of Loss” (“Causes of Loss form”). Paragraph A of this form defines “Covered Causes of Loss” as “direct

physical loss unless the loss is excluded or limited in this policy.” Paragraph B.2.i of the Causes of Loss form provides, under “Exclusions,” “We will not pay for loss or damage caused by or resulting from any of the following: . . . Voluntary parting with any property by you or anyone else to whom you have entrusted the property if induced to do so by any fraudulent scheme, trick, device or false pretense.” At trial and on appeal, Central has relied on this “Voluntary Parting” exclusion to argue that the policy does not cover Reliance’s loss, although its letter denying Reliance’s claim made no mention of it.

The Premier Plus endorsement specifically provides that it modifies the Causes of Loss form, among other coverages. The endorsement also states that “Coverage is amended by the following changes to Additional Coverages, Coverage Extensions, Condition[s] and Exclusions. All other Limitations, Conditions and Exclusions apply.” In paragraph A.6.b, “Exclusions,” the Premier Plus endorsement states that the listed exclusions “are added as respects the Crime Coverage provided by this endorsement” “[i]n addition to the Exclusions in Causes of Loss–Special Form.”

The Premier Plus endorsement adds “Crime Coverages,” including coverages for “Forgery or Alteration,” “Computer and Funds Transfer Fraud,” and “Fraudulent Impersonation,” among others. The Premier Plus endorsement’s “Forgery or Alteration” coverage paragraph provides in part:

2) a) We will pay for loss resulting directly from “forgery”1 or alteration of checks, drafts, promissory notes, or similar written promises, orders or directions to pay a sum certain in “money”

that are:

i) Made or drawn by or drawn upon you; or

ii) Made or drawn by one acting as your agent;

or that are purported to have been so made or drawn.

“Forgery” is defined in the Premier Plus endorsement as “the signing of the name of another person or organization with intent to deceive . . . .” 3. The trial Molitor and Grunnah testified at trial about the events leading to the funds transfer and Reliance’s subsequent communications with Central. William R. Hamm, a claims adjuster, testified on Central’s behalf about Central’s denial of the claim. Hamm was responsible for investigating the claim, but he did not interview either Molitor or Grunnah to determine what happened. Although Reliance had contacted both the police and the FBI, Hamm did not attempt to learn the scope or result of any law enforcement investigation. Hamm testified that he made his coverage decision based solely on one conversation with Lilley and a copy of a written timeline Molitor had prepared at the time she learned of the fraud. He admitted that when he wrote the letter to Reliance denying the claim, he did not consider or mention the Voluntary Parting exclusion. He confirmed his belief that Reliance was the victim of a crime and that no one at Reliance was involved in

1 Terms in quotes are defined elsewhere in the policy.

perpetrating the fraud. And he testified that “[a]s we sit here today, there is a loss of $220,000.”

Both parties moved for directed verdict on the Voluntary Parting exclusion.

Central argued the exclusion applied to preclude any coverage under the Premier Plus endorsement. Reliance argued the opposite, that the Voluntary Parting exclusion did not apply to any of the coverages in the Premier Plus endorsement.

The trial court denied the parties’ motions for directed verdict and submitted the case to the jury.

4. The verdict The trial court’s charge included 15 questions. The jury’s answers to Questions 4, 5, 6, 7, 8, and 9 are at issue in this appeal. The jury found:

Question 4: Reliance suffered a loss resulting directly from “forgery,”

Question 5: Reliance’s loss resulted from the voluntary parting with property induced by a fraudulent scheme,

Question 6: Central did not fail to pay the amount owed for losses under the policy,

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Central Mutual Insurance Company v. Reliance Property Management, Inc., (Tex. Ct. App. 2022).

Central Mutual Insurance Company v. Reliance Property Management, Inc. (Central Mutual Insurance Company v. Reliance Property Management, Inc.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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